1. Contact Information:
               First                                                  Last
    Name:   

 Address:

      City:  

    State:    Zip Code:  

              Home (xxx-xxx-xxxx)                        Work (xxx-xxx-xxxx)
  Phone:   

 E-Mail: 

 2. Which GMD Project do you want to contribute?
   GMD      Patterned Language    Global Missions
  Other:

 3. Completing your Contribution:

          Donation amount: $  (U.S. Funds Only)

 4. Please make your check to Gospel Ministries for the Deaf.   Mail this form and your donation check to the following address:

             Gospel Ministries for the Deaf
             P.O. Box 21011
             Salem, OR  98686

  All contributions are tax deductable and a tax deductable receipt will be mailed to you.

  Thank you so much for your contribution, and may God richly bless you!